ความสัมพันธ์ของภาวะกระดูกสันหลังระดับคอเสื่อม และภาวะโพรงสมองคั่งน้ำชนิดความดันปกติ

Authors

  • ธนาภรณ์ จิ๋วราษฎร์อำนวย คณะแพทยศาสตร์ศิริราชพยาบาล มหาวิทยาลัยมหิดล
  • สุวิภา ผู้พัฒน์ คณะแพทยศาสตร์ศิริราชพยาบาล มหาวิทยาลัยมหิดล
  • ธีรพล วิทธิเวช คณะแพทยศาสตร์ศิริราชพยาบาล มหาวิทยาลัยมหิดล
  • ชนน งามสมบัติ คณะแพทยศาสตร์ศิริราชพยาบาล มหาวิทยาลัยมหิดล

Keywords:

cervical spondylomyelopathy (CSM), normal pressure hydrocephalus (NPH), DESH (Disproportionately Enlarged Subarachnoid space Hydrocephalus)

Abstract

The clinical presentation of cervical spondylomyelopathy (CSM) and normal pressure hydrocephalus (NPH) have considerable overlap, including gait disturbance and urinary incontinence. These similar symptomatologies cause problems in differential diagnosis. The hypothesized pathophysiology involves obstruction of cerebrospinal fluid drainage due to cervical spondylosis. In diagnostic aspect, there are reports of the relation between severity of CSM from magnetic resonance imaging (MRI) and disproportionately enlarged subarachnoid space hydrocephalus (DESH) presentation. Regarding diagnostic testing for NPH, tap test, is reported to have false negative in pre-operative CSM patients. In the treatment aspect, there is a report about cognitive improvement in post-operative spinal canal decompression in some of CSM patients. However, the relative pathophysiology of CSM and NPH requires additional research.

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References

Naylor RM, Lenartowicz KA, Graff-Radford J, Jones DT, Cutsforth-Gregory JK, Graff-Radford NR, et al. High prevalence of cervical myelopathy in patients with idiopathic normal pressure hydrocephalus. Clin Neurol Neurosurg. 2020;197:106099.

Nakajima M, Yamada S, Miyajima M, Ishii K, Kuriyama N, Kazui H, et al. Guidelines for management of idiopathic normal pressure hydrocephalus (Third Edition): Endorsed by the Japanese Society of Normal Pressure Hydrocephalus. Neurol Med Chir (Tokyo). 2021;61(2):63-97.

Kockum K, Virhammar J, Riklund K, Forsgren L, Zetterberg H, Laurell K. The iNPH Radscale: a radiological scale for structured evaluation of idiopathic normal pressure hydrocephalus. Eur J Neurol. 2017;24(3):e13–4.

Brodbelt A, Stoodley M. CSF pathways: a review. Br J Neurosurg. 2007;21(5):510–20.

Abderrahmane H, Seddik SA, Mahmoudreza A, Brahim A, Edouardo P. Idiopathic normal pressure hydrocephalus: theoretical concept of a spinal etiology. Med Hypotheses. 2004;63(5):827–33.

Hoshimaru M. Neuropsychological improvement in patients with cervical spondylotic myelopathy after posterior decompression surgery. Neurol Med Chir (Tokyo). 2010;50(8):703–8.

Shibuya R, Yonenobu K, Koizumi T, Kato Y, Mitta M, Yoshikawa H. Pulsatile cerebrospinal fluid flow measurement using phase-contrast magnetic resonance imaging in patients with cervical myelopathy. Spine (Phila Pa 1976). 2002 May 15;27(10):1087–93.

Witthiwej T, Sathira-ankul P, Chawalparit O, Chotinaiwattarakul W, Tisavipat N, Charnchaowanish P. MRI study of intracranial hydrodynamics and ventriculoperitoneal shunt responsiveness in patient with normal pressure hydrocephalus. J Med Assoc Thai. 2012;95(Suppl 5):S92–7.

Witthiwej T, Sathira-ankul P, Chawalparit O, Chotinaiwattarakul W, Tisavipat N, Charnchaowanish P. MRI study of morphologic features and CSF hydrodynamics to predict ventriculoperitoneal shunt responsiveness in normal pressure hydrocephalus. J Med Assoc Thai. 2017;100(4):S32–40.

Alsoof D, Johnson K, Kutschke M, McDonald CL, Klinge P, Daniels AH. Management of patients with cervical myelopathy and normal pressure hydrocephalus: Epidemiology, medical and surgical complications. Clin Neurol Neurosurg. 2022;213:107130.

Komotar RJ, Zacharia BE, Mocco J, Kaiser MG, Frucht SJ, McKhann GM 2nd. Cervical spine disease may result in a negative lumbar spinal drainage trial in normal pressure hydrocephalus: case report. Neurosurgery. 2008 Oct;63(4 Suppl 2):315; discussion 315.

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Published

2025-10-02

How to Cite

จิ๋วราษฎร์อำนวย ธ., ผู้พัฒน์ ส., วิทธิเวช ธ., & งามสมบัติ ช. (2025). ความสัมพันธ์ของภาวะกระดูกสันหลังระดับคอเสื่อม และภาวะโพรงสมองคั่งน้ำชนิดความดันปกติ. Thai Journal of Neurological Surgery, 15(2), 73–80. retrieved from https://he05.tci-thaijo.org/index.php/TJNS/article/view/6704

Issue

Vol. 15 No. 2 (2024): April-June 2024

Section

Case Report

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